Individual
SCOTT R PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3149 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 772-5916
(928) 775-3250
Mailing address
3149 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 710-5014
(928) 775-3250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0564
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-2210138
AETNA
AZ
01
—
AZ0195490
BLUE CROSS BLUE SHIELD
AZ
01
—
DC9191
RAIL RD MEDICARE
AZ
01
—
P00198294
RAIL ROAD MEDICARE
AZ
Enumeration date
08/30/2006
Last updated
02/20/2017
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